Emily Elizabeth Proud
Physician Assistant in Morgantown, WV. Individual provider (NPI-1).
NPI number1215584792
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1215584792
- Entity type
- Individual (NPI-1)
- Name
- Emily Elizabeth Proud
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2019
- Certification date
- Jan 9, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2353 | WV | Yes |
| 363A00000X | Physician Assistant | – | – |
Other names
- Emily Elizabeth O'Brien (Former Name)
Practice location
1 Medical Center DrMorgantown, WV 26506-1200
Phone 304-296-5169 · Fax 304-293-1106
Mailing address
64 Medical Center Dr # 9238Morgantown, WV 26505-3409
Phone 412-779-1748
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All 205 Physician Assistant providers in Morgantown · All 6,887 providers in Morgantown
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